| NPI | 1508361460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7205) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI BABCB423904) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2026-04-16 |